Organization
KIDSPEACE NATIONAL CENTERS INC
Active
Organization
KIDSPEACE NATIONAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CALLAN (CFO)
(610) 799-7517
Entity
Organization
Contact information
Practice address
1123C OLD BERWICK RD, BLOOMSBURG, PA 17815-2913
(610) 799-8927
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
201990
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290-0026
—
PA
Enumeration date
02/21/2007
Last updated
05/21/2020
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